EP0751747B1 - Einrichtung zum schneiden von fäden - Google Patents

Einrichtung zum schneiden von fäden Download PDF

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Publication number
EP0751747B1
EP0751747B1 EP95912340A EP95912340A EP0751747B1 EP 0751747 B1 EP0751747 B1 EP 0751747B1 EP 95912340 A EP95912340 A EP 95912340A EP 95912340 A EP95912340 A EP 95912340A EP 0751747 B1 EP0751747 B1 EP 0751747B1
Authority
EP
European Patent Office
Prior art keywords
cutting
thread
endoscope
cutting member
aperture
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP95912340A
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English (en)
French (fr)
Other versions
EP0751747A1 (de
Inventor
Paul Swain
Feng Gong
Timothy Noel Mills
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
University College London
Original Assignee
University College London
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by University College London filed Critical University College London
Publication of EP0751747A1 publication Critical patent/EP0751747A1/de
Application granted granted Critical
Publication of EP0751747B1 publication Critical patent/EP0751747B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0467—Instruments for cutting sutures

Definitions

  • This invention relates to a device for use in cutting threads. It is particularly for use in cutting threads during surgery, and, more particularly, in surgery carried out using an endoscope.
  • a primary intended field of application of the invention is in surgery carried out using a flexible endoscope, though it is applicable also to surgery where a rigid endoscope is used.
  • the threads used are normally cut using scissors.
  • this option may not be open to someone carrying out surgery down a flexible endoscope.
  • the surgical tools used are located at the distal end of the endoscope, and must normally be manipulated by control means extending down a channel in the endoscope. Manipulating conventional scissors in this way is at least difficult, and may be impossible. It is also known to use a guillotine, but no satisfactory guillotine is believed currently to exist for endoscopic use.
  • GB-A-2247841 on which the preamble of claim 1 below is based, discloses a device for use in endoscopically cutting a surgical thread, which comprises a cutting member having at least one aperture extending therethrough of a size sufficient to permit the surgical thread to slide therethrough, and means for enabling the cutting member to be located at the distal end of an endoscope.
  • the thread is cut by a cutting tube which has a sharpened distal end and which severs the thread portions protruding from a pair of said apertures. Attention is also drawn to WO 94/05220 which describes a device for tying knots at the end of an endoscope.
  • a device of the type disclosed in GB-A-2247841 characterised in that the aperture has a thread-cutting edge and in that the said enabling means comprises an elongate member connected at one end to the cutting member and at the other end to a mounting member for operation by the user, thereby to enable the cutting member to be moved with respect to the endoscope to effect cutting of the thread.
  • Figure 1 like the other drawings, is diagrammatic, and shows the distal end portion of an endoscope 1 having a biopsy channel 2 through which a thread cutter according to the present invention can pass.
  • the endoscope would have other features, for example a viewing channel, but these are not shown and are assumed to be conventional.
  • the thread cutter comprises a cutting member 3 mounted on the distal end of a flexible wire 4.
  • the wire 4 can be a 1mm wire made of steel of a surgically acceptable type.
  • the wire 4 may be replaced by a Bowden cable.
  • the proximal end of the wire is fixed in a mounting member 5, which is of a suitable size and shape to be grasped by the surgeon during use of the thread cutter.
  • the wire 4 is surrounded by a plastics tube 6 which is not connected either to the cutting member 3 or the mounting member 5, and in which the wire 4 is freely slidable.
  • the tube 6 is preferably made of polytetrafluoroethylene, or other material having a low coefficient of friction, and is intended to enable the cutting member and its wire to be readily passed down the channel 2, and withdrawn therefrom. It must be kept in mind that, in practice, the endoscope 1, when in position in a patient, will have a number of bends in it, and care therefore needs to be taken to ensure that the cutting member and its wire can move freely along the channel 2, despite the presence of these bends.
  • the cutting member 3 is provided with two apertures 7 which extend from the front face 8 to the side wall 9.
  • the cutting member 3 is preferably cylindrical in shape, and the apertures 7 are preferably circular in cross-section.
  • the apertures must be of such a size that a surgical thread can slide therethrough, and it has been found convenient to use apertures having a diameter of 0.6mm. Where the apertures emerge through the side wall 9 the circular cross-section of the apertures will give rise to an opening which is elliptical in shape.
  • the curved distal portion of each elliptical opening provides an arcuately curved cutting edge for cutting the thread, as will be explained further below.
  • the drawings show an example of the use of the cutting device of the present invention, in which the surgeon has inserted a surgical thread 10 through a U-shaped piece of a patient's tissue 11 and has tied a knot 12 therein.
  • the procedure used to do this has left the two thread tails 13 extending through a passageway in the patient's body and out through a bodily opening. For example, if the thread has been inserted in the lining of the patient's stomach, the thread ends will extend through the patient's gullet and out through the mouth.
  • the thread cutter is then inserted into the endoscope, so that the cutting member 3 is located outwardly of the distal end thereof, and the mounting member 5 is located outwardly of the proximal end.
  • the thread ends 13 are then passed through respective ones of the apertures 7, and the endoscope, with the thread cutter therein, is then inserted through the patient's mouth, insertion being continued until the cutting member 3 is adjacent the knot 12, a fact which can be ascertained by observation through the viewing channel of the endoscope.
  • the thread tails 13 slide through the apertures 7, with the free ends thereof always continuing to extend out of the patient's mouth. In this way, the position is reached which is shown in Figure 1.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Endoscopes (AREA)

Claims (8)

  1. Vorrichtung zur Verwendung beim endoskopischen Schneiden eines chirurgischen Fadens (10), welche ein Schneideglied (3) umfaßt, das zumindest eine Öffnung (7) hat, die sich hindurcherstreckt, eine Größe, die ausreichend ist, um es dem chirurgischen Faden zu gestatten hindurch zu gleiten, und eine Einrichtung (4) zum Ermöglichen, daß sich das Schneideglied am entfernten Ende eines Endoskops (1) befindet, dadurch gekennzeichnet, daß die Öffnung eine Fadenschneidekante hat, und dadurch, daß die Ermöglichungseinrichtung ein längliches Glied (4) umfaßt, das an einem Ende mit dem Schneideglied (3) verbunden ist und am anderen Ende mit einem Montierglied (5) zur Betätigung durch den Benutzer, wodurch es ermöglicht wird, das Schneideglied bezüglich des Endoskops zu bewegen, um ein Schneiden des Fadens zu bewirken.
  2. Vorrichtung nach Anspruch 1, wobei die Fadenschneidekante bogenförmig ist.
  3. Vorrichtung nach Anspruch 2, wobei die Öffnung (7) eine gebogene Außenfläche des Schneideglieds (3) trifft, um die Fadenschneidekante zu definieren.
  4. Vorrichtung nach Anspruch 3, wobei das Schniedeglied (3) zylindrisch ist und zumindest eine Öffnung (7) hat, welche sich von dessen vorderer Endfläche zu dessen zylindrischer Oberfläche hindurch erstreckt.
  5. Vorrichtung nach Anspruch 4, wobei ein Paar der Öffnungen (7) vorgesehen ist.
  6. Vorrichtung nach Anspruch 5, wobei die Öffnungen (7) diametral entgegengesetzt zueinander sind.
  7. Vorrichtung nach einem der vorangegangenen Ansprüche, wobei das längliche Glied von einer Scheide (6) umgeben ist, in welcher das längliche Glied gleiten kann, wobei die Scheide weder mit dem Schneideglied noch mit dem Montierglied verbunden ist.
  8. Vorrichtung nach einem der vorangegangenen Ansprüche, montiert auf einem Endoskop.
EP95912340A 1994-03-23 1995-03-23 Einrichtung zum schneiden von fäden Expired - Lifetime EP0751747B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB9405791 1994-03-23
GB9405791A GB9405791D0 (en) 1994-03-23 1994-03-23 Device for use in cutting threads
PCT/GB1995/000653 WO1995025470A1 (en) 1994-03-23 1995-03-23 Device for use in cutting threads

Publications (2)

Publication Number Publication Date
EP0751747A1 EP0751747A1 (de) 1997-01-08
EP0751747B1 true EP0751747B1 (de) 1999-05-12

Family

ID=10752393

Family Applications (1)

Application Number Title Priority Date Filing Date
EP95912340A Expired - Lifetime EP0751747B1 (de) 1994-03-23 1995-03-23 Einrichtung zum schneiden von fäden

Country Status (7)

Country Link
US (1) US5755730A (de)
EP (1) EP0751747B1 (de)
JP (1) JP3631251B2 (de)
AU (1) AU3245895A (de)
DE (1) DE69509642T2 (de)
GB (1) GB9405791D0 (de)
WO (1) WO1995025470A1 (de)

Families Citing this family (112)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6238335B1 (en) * 1998-12-11 2001-05-29 Enteric Medical Technologies, Inc. Method for treating gastroesophageal reflux disease and apparatus for use therewith
US6251064B1 (en) * 1998-12-11 2001-06-26 Enteric Medical Technologies, Inc. Method for creating valve-like mechanism in natural body passageway
US7132582B2 (en) * 2003-05-30 2006-11-07 Council Of Scientific And Industrial Research Catalytic process for the preparation of isolongifolene
WO2000059382A1 (en) 1999-04-01 2000-10-12 Bjerken David B Vacuum-assisted remote suture placement system
AU6059200A (en) 1999-07-02 2001-01-22 Quickpass, Inc. Suturing device
US6358197B1 (en) 1999-08-13 2002-03-19 Enteric Medical Technologies, Inc. Apparatus for forming implants in gastrointestinal tract and kit for use therewith
US7399304B2 (en) 2000-03-03 2008-07-15 C.R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
US7993368B2 (en) 2003-03-13 2011-08-09 C.R. Bard, Inc. Suture clips, delivery devices and methods
US8105351B2 (en) * 2001-05-18 2012-01-31 C.R. Bard, Inc. Method of promoting tissue adhesion
US7220266B2 (en) 2000-05-19 2007-05-22 C. R. Bard, Inc. Tissue capturing and suturing device and method
AU2001288435A1 (en) 2000-08-25 2002-03-04 Sutura, Inc. Suture cutter
US6554845B1 (en) * 2000-09-15 2003-04-29 PARÉ Surgical, Inc. Suturing apparatus and method
US7033373B2 (en) 2000-11-03 2006-04-25 Satiety, Inc. Method and device for use in minimally invasive placement of space-occupying intragastric devices
US8313496B2 (en) * 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
US6997931B2 (en) 2001-02-02 2006-02-14 Lsi Solutions, Inc. System for endoscopic suturing
US6860890B2 (en) 2001-03-02 2005-03-01 Edwards Lifesciences Corporation Surgical knot pushing device and method of use
US7083629B2 (en) * 2001-05-30 2006-08-01 Satiety, Inc. Overtube apparatus for insertion into a body
US6558400B2 (en) 2001-05-30 2003-05-06 Satiety, Inc. Obesity treatment tools and methods
WO2003105670A2 (en) * 2002-01-10 2003-12-24 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US8641727B2 (en) 2002-06-13 2014-02-04 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US7588582B2 (en) * 2002-06-13 2009-09-15 Guided Delivery Systems Inc. Methods for remodeling cardiac tissue
US7753858B2 (en) * 2002-06-13 2010-07-13 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US7753924B2 (en) 2003-09-04 2010-07-13 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US7883538B2 (en) 2002-06-13 2011-02-08 Guided Delivery Systems Inc. Methods and devices for termination
US7758637B2 (en) * 2003-02-06 2010-07-20 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US20060122633A1 (en) 2002-06-13 2006-06-08 John To Methods and devices for termination
US7666193B2 (en) 2002-06-13 2010-02-23 Guided Delivery Sytems, Inc. Delivery devices and methods for heart valve repair
US9949829B2 (en) 2002-06-13 2018-04-24 Ancora Heart, Inc. Delivery devices and methods for heart valve repair
US8287555B2 (en) 2003-02-06 2012-10-16 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US7753922B2 (en) * 2003-09-04 2010-07-13 Guided Delivery Systems, Inc. Devices and methods for cardiac annulus stabilization and treatment
US6746460B2 (en) 2002-08-07 2004-06-08 Satiety, Inc. Intra-gastric fastening devices
US7033384B2 (en) 2002-08-30 2006-04-25 Satiety, Inc. Stented anchoring of gastric space-occupying devices
US7214233B2 (en) 2002-08-30 2007-05-08 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
JP2006512108A (ja) 2002-09-06 2006-04-13 シー・アール・バード・インク 内視鏡とアクセサリの一体型治療装置
WO2004028349A2 (en) * 2002-09-24 2004-04-08 Ethicon Endo-Surgery, Inc Ultrasonic surgical instrument having an increased working length
US7229428B2 (en) * 2002-10-23 2007-06-12 Satiety, Inc. Method and device for use in endoscopic organ procedures
US7220237B2 (en) 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
US6866673B2 (en) * 2002-12-20 2005-03-15 Ran Oren Suture manipulating and/or cutting implement
US20040127915A1 (en) * 2002-12-30 2004-07-01 Fleenor Richard P. Suture hoop system
US7175638B2 (en) 2003-04-16 2007-02-13 Satiety, Inc. Method and devices for modifying the function of a body organ
CN1822794B (zh) 2003-05-16 2010-05-26 C.R.巴德有限公司 单插管、多缝针的内窥镜缝合系统
US7534204B2 (en) * 2003-09-03 2009-05-19 Guided Delivery Systems, Inc. Cardiac visualization devices and methods
US7452363B2 (en) * 2003-09-30 2008-11-18 Ethicon Endo-Surgery, Inc. Applier for fastener for single lumen access anastomosis
US8211142B2 (en) * 2003-09-30 2012-07-03 Ortiz Mark S Method for hybrid gastro-jejunostomy
US7097650B2 (en) * 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
US7914543B2 (en) 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
US20050273138A1 (en) * 2003-12-19 2005-12-08 Guided Delivery Systems, Inc. Devices and methods for anchoring tissue
US20050177176A1 (en) * 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
EP1713402B1 (de) 2004-02-13 2018-07-04 Ethicon Endo-Surgery, Inc. Vorrichtung zur verminderung des rauminhalts eines magens
CA2557722C (en) 2004-02-27 2013-02-12 Satiety, Inc. Methods and devices for reducing hollow organ volume
US8252009B2 (en) 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8449560B2 (en) 2004-03-09 2013-05-28 Satiety, Inc. Devices and methods for placement of partitions within a hollow body organ
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8628547B2 (en) 2004-03-09 2014-01-14 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
CA2561193A1 (en) 2004-03-26 2005-10-20 Satiety, Inc. Systems and methods for treating obesity
US20060004409A1 (en) 2004-05-14 2006-01-05 Nobis Rudolph H Devices for locking and/or cutting a suture
US7879055B1 (en) * 2004-06-23 2011-02-01 Biomet Sports Medicine, Llc Method and apparatus for sizing a material
US20060106288A1 (en) 2004-11-17 2006-05-18 Roth Alex T Remote tissue retraction device
WO2007001936A2 (en) 2005-06-20 2007-01-04 Sutura, Inc. Method and apparatus for applying a knot to a suture
US8906040B2 (en) * 2005-07-13 2014-12-09 Creighton University Systems and techniques for minimally invasive gastrointestinal procedures
US8641729B2 (en) 2005-07-13 2014-02-04 Creighton University Systems and techniques for minimally invasive gastrointestinal procedures
US7798992B2 (en) * 2005-11-04 2010-09-21 Ethicon Endo-Surgery, Inc. Lumen traversing device
US7815659B2 (en) * 2005-11-15 2010-10-19 Ethicon Endo-Surgery, Inc. Suture anchor applicator
US7651017B2 (en) * 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US20070123917A1 (en) * 2005-11-29 2007-05-31 Ortiz Mark S Anastomotic device promoting tissue necrosis
US8221438B2 (en) * 2006-02-17 2012-07-17 Ethicon Endo-Surgery, Inc. Lumen reduction methods and devices
US20070198032A1 (en) * 2006-02-22 2007-08-23 Ethicon Endo-Surgery, Inc. Methods and devices for fastener removal
US20070225556A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Disposable endoscope devices
US7615004B2 (en) 2006-03-30 2009-11-10 Ethicon Endo-Surgery, Inc. Endoscopic ancillary attachment devices
US20070239179A1 (en) * 2006-03-31 2007-10-11 Ethicon Endo-Surgery, Inc. Compliant Gastroplasty: Devices And Methods
US9005220B2 (en) 2006-04-04 2015-04-14 C.R. Bard, Inc. Suturing devices and methods with energy emitting elements
US7862582B2 (en) * 2006-05-02 2011-01-04 Ethicon Endo-Surgery, Inc. Suture management
US7758598B2 (en) * 2006-05-19 2010-07-20 Ethicon Endo-Surgery, Inc. Combination knotting element and suture anchor applicator
US20070276409A1 (en) * 2006-05-25 2007-11-29 Ethicon Endo-Surgery, Inc. Endoscopic gastric restriction methods and devices
US7635373B2 (en) * 2006-05-25 2009-12-22 Ethicon Endo-Surgery, Inc. Absorbable gastric restriction devices and methods
US7674275B2 (en) * 2006-10-05 2010-03-09 Ethicon Endo-Surgery, Inc. Suture anchor
US8388680B2 (en) * 2006-10-18 2013-03-05 Guided Delivery Systems, Inc. Methods and devices for catheter advancement and delivery of substances therethrough
US20080103527A1 (en) * 2006-10-27 2008-05-01 Martin David T Flexible endoscopic suture anchor applier
EP2134266A4 (de) 2007-03-29 2015-06-03 Nobles Medical Technologies Inc Nähvorrichtungen und verfahren für den verschluss eines offenen foramen ovale
US20080275476A1 (en) * 2007-05-04 2008-11-06 Cropper Michael S Threader for knotting element
US7875042B2 (en) * 2007-05-04 2011-01-25 Ethicon Endo-Surgery, Inc. Suture anchor loader
WO2009100242A2 (en) 2008-02-06 2009-08-13 Guided Delivery Systems, Inc. Multi-window guide tunnel
EP2288402A4 (de) 2008-05-07 2011-10-05 Guided Delivery Systems Inc Ablenkbare führung
WO2009137766A1 (en) 2008-05-09 2009-11-12 Sutura, Inc. Suturing devices and methods for suturing an anatomic valve
WO2010036227A1 (en) 2008-09-29 2010-04-01 C R . Bard, Inc . Endoscopic suturing device
AU2009302169B2 (en) 2008-10-10 2016-01-14 Ancora Heart, Inc. Termination devices and related methods
CN102245110A (zh) 2008-10-10 2011-11-16 导向传输系统股份有限公司 系绳张紧装置及相关方法
WO2010085456A1 (en) 2009-01-20 2010-07-29 Guided Delivery Systems Inc. Anchor deployment devices and related methods
EP2389218A4 (de) * 2009-01-20 2012-06-13 Guided Delivery Systems Inc Diagnosekatheter, führungskatheter, anzeigevorrichtungen und schnurmanipulationsvorrichtungen sowie entsprechende kits und verfahren
WO2010124129A1 (en) * 2009-04-22 2010-10-28 Pare Surgical, Inc. Endoscopic tissue grasping apparatus and method
JP5851499B2 (ja) 2010-06-25 2016-02-03 マツィエイ ジェイ． チェトゥラキス， 側方に離間した仮想挿入点を伴う単一ポート腹腔鏡下アクセス
US9861350B2 (en) 2010-09-03 2018-01-09 Ancora Heart, Inc. Devices and methods for anchoring tissue
EP3644194B1 (de) 2011-04-15 2022-12-07 Heartstitch, Inc. Nähvorrichtungen zum nähen einer anatomischen klappe
US9113879B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9119615B2 (en) 2011-12-15 2015-09-01 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
WO2013170081A1 (en) 2012-05-11 2013-11-14 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
EA032962B1 (ru) 2013-07-02 2019-08-30 Мед-Венче Инвестментс, Ллс Сшивающее устройство анатомической структуры
WO2015025301A1 (en) * 2013-08-22 2015-02-26 Anchor Orthopedics Xt Inc. Suture cutter
EP3079602B1 (de) 2013-12-06 2020-01-22 Med-venture Investments, LLC Nahtvorrichtungen
US10178993B2 (en) 2014-07-11 2019-01-15 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US9993243B2 (en) 2014-09-09 2018-06-12 Edwards Lifesciences Corporation Finger-mounted surgical instruments and methods of use
CA2978599C (en) 2015-03-05 2022-09-06 Ancora Heart, Inc. Devices and methods of visualizing and determining depth of penetration in cardiac tissue
AU2016260305B2 (en) 2015-05-12 2022-01-06 Ancora Heart, Inc. Device and method for releasing catheters from cardiac structures
US10687801B2 (en) 2016-04-11 2020-06-23 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
AU2017322329B2 (en) * 2016-09-09 2022-06-02 Terumo Medical Corporation System for suture trimming
AU2017362497B2 (en) 2016-11-18 2022-07-28 Ancora Heart, Inc. Myocardial implant load sharing device and methods to promote LV function
EP3641660A1 (de) 2017-06-19 2020-04-29 Heartstitch, Inc. Nähvorrichtungen und verfahren zum nähen einer öffnung auf der herzspitze
WO2018236766A1 (en) 2017-06-19 2018-12-27 Heartstitch, Inc. SUTURE SYSTEMS AND METHODS FOR SUITURING BODY TISSUE
EP3668415B1 (de) 2017-08-18 2023-10-25 Nobles Medical Technologies II, Inc. Vorrichtung zum aufbringen eines knotens auf einer naht
MX2020013973A (es) * 2018-07-12 2021-06-15 Valtech Cardio Ltd Sistemas de anuloplastia y herramientas de bloqueo para ello.
CN114727830A (zh) 2019-07-15 2022-07-08 复心公司 系绳切割装置和方法

Family Cites Families (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2521161A (en) * 1948-08-07 1950-09-05 Harle B Grover Surgical cutting instrument
US4038988A (en) * 1975-12-31 1977-08-02 Pierre Perisse Surgical apparatus
US5112299A (en) * 1989-10-25 1992-05-12 Hall Surgical Division Of Zimmer, Inc. Arthroscopic surgical apparatus and method
US5100415A (en) * 1990-01-08 1992-03-31 Hayhurst John O Knotting instrument
US4961741A (en) * 1990-01-08 1990-10-09 Hayhurst John O Suture knotting instrument
US5084058A (en) * 1990-04-25 1992-01-28 Mitek Surgical Products, Inc. Suture rundown tool and cutter system
US5087263A (en) * 1990-04-25 1992-02-11 Mitek Surgical Products, Inc. Suture throw holder and rundown system
US5163946A (en) * 1990-04-25 1992-11-17 Mitek Surgical Products, Inc. Suture rundown tool and cutter system
US5133723A (en) * 1990-04-25 1992-07-28 Mitek Surgical Products, Inc. Suture rundown tool and cutter system
US5176691A (en) * 1990-09-11 1993-01-05 Pierce Instruments, Inc. Knot pusher
US5320629B1 (en) * 1991-01-07 2000-05-02 Advanced Surgical Inc Device and method for applying suture
US5192287A (en) * 1991-04-05 1993-03-09 American Cyanamid Company Suture knot tying device
US5217471A (en) * 1991-05-30 1993-06-08 Burkhart Stephen S Endoscopic suture knotting instrument
US5234444A (en) * 1991-12-06 1993-08-10 Cyprus Endosurgical Tools, Inc. Christoudias knot--transfer method and instrument
US5403330A (en) * 1992-07-17 1995-04-04 Tuason; Leo B. Suture knot pusher
GB9218752D0 (en) * 1992-09-04 1992-10-21 Univ London Device for use in tying knots
US5292327A (en) * 1992-10-08 1994-03-08 Dodd Joseph T Surgical knot pusher
AU5356894A (en) * 1992-10-09 1994-05-09 Li Medical Technologies, Inc. Suture throw rundown tool
US5269791A (en) * 1992-10-09 1993-12-14 Ilya Mayzels Surgical knot pushing appliance
US5324298A (en) * 1992-11-03 1994-06-28 Edward H. Phillips Endoscopic knot pushing instrument
US5334200A (en) * 1993-03-02 1994-08-02 Lanny L. Johnson Suture knot making device and method for use
US5397326A (en) * 1993-04-15 1995-03-14 Mangum; William K. Knot pusher for videoendoscopic surgery
US5423837A (en) * 1993-12-14 1995-06-13 Advanced Surgical, Inc. Surgical knot pusher
US5549618A (en) * 1994-01-18 1996-08-27 Coral Medical Knot tying method and apparatus
US5601576A (en) * 1994-08-10 1997-02-11 Heartport Inc. Surgical knot pusher and method of use
US5562684A (en) * 1994-10-11 1996-10-08 Ethicon, Inc. Surgical knot pusher device and improved method of forming knots
US5571117A (en) * 1995-03-06 1996-11-05 Emory University Method of endoscopic stapling and suturing and instrument therefor

Also Published As

Publication number Publication date
GB9405791D0 (en) 1994-05-11
AU3245895A (en) 1995-10-09
JPH09510382A (ja) 1997-10-21
US5755730A (en) 1998-05-26
WO1995025470A1 (en) 1995-09-28
EP0751747A1 (de) 1997-01-08
DE69509642D1 (de) 1999-06-17
DE69509642T2 (de) 1999-09-16
JP3631251B2 (ja) 2005-03-23

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